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Individual

JORDAN LEIKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2803 GRAYLEAF DR, WEST LAFAYETTE, IN 47906-6415
(815) 341-7153
Mailing address
2803 GRAYLEAF DR, WEST LAFAYETTE, IN 47906-6415

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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